ArticleDiseases of the colon and rectum2010
Early and late complications among long-term colorectal cancer survivors with ostomy or anastomosis.
Article in Diseases of the colon and rectum, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 6 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
36 citing papers in PubMed, 6 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- New onset of type 2 diabetes as a complication after cancer diagnosis: A systematic review.Cancer medicine · 2021Pooled it
- Conversations for providers caring for patients with rectal cancer: Comparison of long-term patient-centered outcomes for patients with low rectal cancer facing ostomy or sphincter-sparing surgery.CA: a cancer journal for clinicians · 2016Pooled it
- Candidate Predictors of Health-Related Quality of Life of Colorectal Cancer Survivors: A Systematic Review.The oncologist · 2016Pooled it
- Surgical complications and their impact on patients' psychosocial well-being: a systematic review and meta-analysis.BMJ open · 2016Pooled it
- Meta-analysis of randomized trials comparing endoscopic stenting and surgical decompression for colorectal cancer obstruction.International journal of colorectal disease · 2013Pooled it
- American Cancer Society Colorectal Cancer Survivorship Care Guidelines.CA: a cancer journal for cliniciansGuideline
- Trial
- A Randomized Controlled Trial of a Nurse-Led Supportive Care Package (SurvivorCare) for Survivors of Colorectal Cancer.The oncologist · 2016Trial
- Increased Odds of Perioperative Complications Following Lumbar Diskectomy Among Patients With a Colostomy.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- [Postoperative Imaging Findings of Colorectal Surgery: A Pictorial Essay].Journal of the Korean Society of Radiology · 2024Review
- TiOInternational journal of nanomedicine · 2024Article
- Patient reported improvement in sexual health outcomes following care in a sexual health clinic for women with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Predictors of Quality of Life Six Years after Curative Colorectal Cancer Surgery: Results of the Prospective Multicenter Study.Medicina (Kaunas, Lithuania) · 2022Article
- The association of bowel function, participation in life activities, and quality of life in rectal cancer survivors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
- Shikonin suppresses colon cancer cell growth and exerts synergistic effects by regulating ADAM17 and the IL‑6/STAT3 signaling pathway.International journal of oncology · 2021Article
- Self-Care and Health-Related Quality of Life in Patients with Drainage Enterostomy: A Multicenter, Cross Sectional Study.International journal of environmental research and public health · 2021Article
- Article
- Improving Health-Related Quality of Life of Patients With an Ostomy Using a Novel Digital Wearable Device: Protocol for a Pilot Study.JMIR research protocols · 2018Article
- Caregiving and mutuality among long-term colorectal cancer survivors with ostomies: qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Article
- Rectal Cancer Survivors' Participation in Productive Activities.The Permanente journal · 2018Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
purposeAmong long-term (>or=5 y) colorectal cancer survivors with permanent ostomy or anastomosis, we compared the incidence of medical and surgical complications and examined the relationship of complications with health-related quality of life.
backgroundThe incidence and effects of complications on long-term health-related quality of life among colorectal cancer survivors are not adequately understood.
methodsParticipants (284 survivors with ostomies and 395 survivors with anastomoses) were long-term colorectal cancer survivors enrolled in an integrated health plan. Health-related quality of life was assessed via mailed survey questionnaires from 2002 to 2005. Information on colorectal cancer, surgery, comorbidities, and complications was obtained from computerized data and analyzed by use of survival analysis and logistic regression.
resultsOstomy and anastomosis survivors were followed up for an average of 12.1 and 11.2 years, respectively. Within 30 days of surgery, 19% of ostomy survivors and 10% of anastomosis survivors experienced complications (P < .01). From 31 days on, the percentages were 69% and 67% (after adjustment, P < .001). Bleeding and postoperative infection were common early complications. Common long-term complications included hernia, urinary retention, hemorrhage, skin conditions, and intestinal obstruction. Ostomy was associated with long-term fistula (odds ratio, 5.4; 95% CI 1.4-21.2), and among ostomy survivors, fistula was associated with reduced health-related quality of life (P < .05).
conclusionsComplication rates remain high despite recent advances in methods of surgical treatment. Survivors with ostomy have more complications early in their survivorship period, but complications among anastomosis survivors catch up after 20 years, when the 2 groups have convergent complication rates. Among colorectal cancer survivors with ostomy, fistula has especially important implications for health-related quality of life.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.